18. Cause of Death I. Disease or Condition Directly Leading to Death: Chronic MyocarditisII. Other Significant Conditions: Seniilty and general debility

20. Autopsy? No.

22. I Hereby Certify that I attended the deceased from 7-15, 1947 to 5-25, 1949. That I last saw the deceased alive on 5-23, 1949, and that death occurred at 5:25 a.m. from the causes and on the date stated above.